Form St-178 - Nonresident Military Tax Exemption Certificate

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
ST-178
(Rev. 9/4/08)
NONRESIDENT MILITARY TAX EXEMPTION
5023
CERTIFICATE
READ THE INSTRUCTIONS BEFORE COMPLETING THIS CERTIFICATE.
SALES OF MOTOR VEHICLES OR MOTORCYCLES TO A MEMBER OF THE ARMED FORCES
OF THE UNITED STATES
Name of Purchaser
Rank
Address of Purchaser
(Street)
(City)
(State)
(Zip)
Name of Seller
Address of Seller
(Street)
(City)
(State)
(Zip)
Seller's Retail License Number
Date of Sale
(Month)
(Day)
(Year)
Description of Motor Vehicle/Motorcycle:
Make
Model
Serial Number
Sales Price $
Trade-In $
Net Amt. Paid $
TO BE COMPLETED BY A COMMISSIONED OFFICER OF THE ARMED FORCES
OF A HIGHER RANK THAN THE PURCHASER:
This is to certify that I have examined the service records of
(Service Member - Purchaser)
and find that he/she is a member of the Armed Forces of the United States on active duty, assigned to
, located within South Carolina by reason of military orders, and his/her legal residence
(Military Unit)
according to his/her service record is:
(Street)
(City)
(State)
(Zip)
(Signature)
(Military Unit)
(Location)
(Name)
(Rank)
(Date)
50231018

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